Editorial Comment.

Recovery after ureteroscopy might best be described as an exercise in mind over body. Often due to persistent pain, hematuria and urgency our standard pharmacological interventions can fail to maintain tolerability, increasing unplanned health care contacts (reference 2 in article). But who can be diverted from the ED, where costs skyrocket? Carlos et al found that patients with PDs, most commonly depression and anxiety, along with a history of prior ED use are at greater risk for ED presentation after ureteroscopy. Given that patients with PD often have more pain intensity after surgery (reference 17 in article), it is reasonable to suggest that mental illness may interfere with optimal recovery. FACTORS ASSOCIATED WITH EMERGENCY DEPARTMENT RETURN 561